中文版專業性生產支持知覺量表於台灣產婦之信度與效度檢測

The Reliability and Validity of the Chinese Version Perceived Professional Labor Support Tool in Taiwanese Women

陳瑩倢(Ying-Chien Chen)

指導教授 ： 郭碧照

中山醫學大學/醫學院/護理研究所/碩士(2014年)

https://doi.org/10.6834/CSMU.2014.00062

摘要

分娩過程中，生產支持的提供，能改善母嬰結果，增加母親的調適能力，使其擁有正向而滿意的生產經驗。為了能夠維持專業面，護理人員能力內涵是十分重要的，攸關著母嬰生產正向的結果。目前台灣發展的生產支持測量工具是以社會支持模式為基礎，無法完整涵蓋專業性生產支持概念的所有範圍，且缺乏評價提供生產支持之護理人員能力內涵。有鑑於此，測量分娩婦女對於護理人員於分娩時期所提供的專業性生產支持感受，建構一份具有信度與效度的檢測工具是十分重要的。本研究目的旨在將Bowers所發展的英文版專業性生產支持知覺量表，進行中文化翻譯，檢視中文版專業性生產支持知覺量表之信度與效度，並能適用於台灣產婦。
採用問卷調查法，研究對象以方便取樣選取中部某一醫學中心婦產科病房之240位分娩後產婦參與中文版專業性生產支持知覺量表之測試。以SPSS 17.0中文版統計套裝軟體進行資料整理及分析，採用內容效度（專家效度和表面效度）、建構效度（因素分析）及效標關聯效度（同時效度）建構此量表之效度；使用內部一致性信度和再測信度檢定此量表之信度。
研究結果顯示，中文版專業性生產支持知覺量表之專家效度CVI值為.95，經因素分析，可萃取出護理能力、關注需求、溝通-傳遞訊息、身心舒適、傳達關懷等五個構面，與原量表大致上有相同的因素結構，可解釋總變異量為64.27%。信度方面，Cronbach's α為.95，間隔7-10天的再測信度係數為.88；五個構面的Cronbach's α係數介於.75至.93，再測信度係數介於.78至.87。
整體而言，中文版專業性生產支持知覺量表具備良好的信度與效度，且具有評價護理人員的護理能力內涵，優於現有的生產支持量表。未來可運用於評估台灣產婦生產支持之看法，且助於醫護人員了解目前生產支持現況，作為產科護理人員生產支持在職教育之參考依據，進而提升產科臨床照護品質。

關鍵字

生產支持 ； 信度檢定 ； 效度檢定

並列摘要

Women are provided labor support during delivery, can improve outcomes for mothers and babies, increase women’s adaptive capacity, and have positive and satisfying birth experience. In order for nursing to remain as a viable profession, nurses，competence is highly important to promote positive outcomes for mothers and babies.The testing tools of labor support were developed based upon the model of social support in Taiwanese clinical practice, and do not reflect the full range of professional labor support , and lack of evaluation that competence connotation of providing labor support for nurses .In light of this, it is highly important to develop, and easy-to-use testing tool that measures mothers，perceptions of professional labor support provided by the registered nurse during labor.Therefore, the purpose of this study was to employ the Bowers's PPLST to translate into chinese and to assess the reliability and validity of the chinese version Perceived Professional Labor Support Tool , and apply to Taiwanese women.
This study used questionnaires, 240 subjects was selected by convenience sampling in the obstetrics and gynecology ward of a central medical center, testing the chinese version Perceived Professional Labor Support Tool. Applied the SPSS 17.0 statistical software package for data collection and analysis, and used content validity, factor analysis, concurrent validity, internal consistency reliability, and test-retest reliability to test the reliability and validity of the chinese version Perceived Professional Labor Support Tool.
This study results display that Its CVI was .95, and factor analysis found five factors, “Nursing Competency”, “concern needs”, “Communication –to pass information”, “physical and psychological comfort”, and“convey caring”, to account for 64.27% of the total variance. Its Cronbach's αwas.95, and test-retest reliability coefficient was.88 in the one-to-two weeks. The five factors, its Cronbach's α ranged from .75~.93, and test-retest reliability coefficients ranged from .78 ~. 87.
Overall, this study results suggest that the psychometric properties of the the Chinese Version Perceived Professional Labor Support Tool has a good reliability and validity, may be apply to assess the women's perceptions of the professional labor support in Taiwanese.
In the future, this study can help healthcare professional staffs to understand the status of labor support, as a basis of the in-service education of Labor Support for obstetric nurses, and to increase the quality of obstetric care.

並列關鍵字

labor support ； reliability test ； validity test

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